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How to successfully implement population health management: a scoping review

BACKGROUND: Despite international examples, it is unclear for multisector initiatives which want to sustainably improve the health of a population how to implement Population Health Management (PHM) and where to start. Hence, the main purpose of this research is to explore current literature about t...

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Autores principales: van Ede, A. F. T. M., Minderhout, R. N., Stein, K. V., Bruijnzeels, M. A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10464069/
https://www.ncbi.nlm.nih.gov/pubmed/37626327
http://dx.doi.org/10.1186/s12913-023-09915-5
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author van Ede, A. F. T. M.
Minderhout, R. N.
Stein, K. V.
Bruijnzeels, M. A.
author_facet van Ede, A. F. T. M.
Minderhout, R. N.
Stein, K. V.
Bruijnzeels, M. A.
author_sort van Ede, A. F. T. M.
collection PubMed
description BACKGROUND: Despite international examples, it is unclear for multisector initiatives which want to sustainably improve the health of a population how to implement Population Health Management (PHM) and where to start. Hence, the main purpose of this research is to explore current literature about the implementation of PHM and organising existing knowledge to better understand what needs to happen on which level to achieve which outcome. METHODS: A scoping review was performed within scientific literature. The data was structured using Context-Mechanism-Outcome, the Rainbow model of integrated care and six elements of PHM as theoretical concepts. RESULTS: The literature search generated 531 articles, of which 11 were included. Structuring the data according to these three concepts provided a framework that shows the skewed distribution of items that influence the implementation of PHM. It highlights that there is a clear focus on normative integration on the organisational level in ‘accountable regional organisation’. There is less focus on the normative integration of ‘cross domain business model’, ‘integrated data infrastructure’, and ‘population health data analytics’, and overall the perspective of citizen and professionals, indicating possible gaps of consideration. CONCLUSIONS: A first step is taken towards a practical guide to implement PHM by illustrating the depth of the complexity and showing the partial interrelatedness of the items. Comparing the results with existing literature, the analysis showed certain gaps that are not addressed in practice, but should be according to other frameworks. If initiators follow the current path in literature, they may be missing out on some important components to achieve proper implementation of PHM. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-023-09915-5.
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spelling pubmed-104640692023-08-30 How to successfully implement population health management: a scoping review van Ede, A. F. T. M. Minderhout, R. N. Stein, K. V. Bruijnzeels, M. A. BMC Health Serv Res Research BACKGROUND: Despite international examples, it is unclear for multisector initiatives which want to sustainably improve the health of a population how to implement Population Health Management (PHM) and where to start. Hence, the main purpose of this research is to explore current literature about the implementation of PHM and organising existing knowledge to better understand what needs to happen on which level to achieve which outcome. METHODS: A scoping review was performed within scientific literature. The data was structured using Context-Mechanism-Outcome, the Rainbow model of integrated care and six elements of PHM as theoretical concepts. RESULTS: The literature search generated 531 articles, of which 11 were included. Structuring the data according to these three concepts provided a framework that shows the skewed distribution of items that influence the implementation of PHM. It highlights that there is a clear focus on normative integration on the organisational level in ‘accountable regional organisation’. There is less focus on the normative integration of ‘cross domain business model’, ‘integrated data infrastructure’, and ‘population health data analytics’, and overall the perspective of citizen and professionals, indicating possible gaps of consideration. CONCLUSIONS: A first step is taken towards a practical guide to implement PHM by illustrating the depth of the complexity and showing the partial interrelatedness of the items. Comparing the results with existing literature, the analysis showed certain gaps that are not addressed in practice, but should be according to other frameworks. If initiators follow the current path in literature, they may be missing out on some important components to achieve proper implementation of PHM. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-023-09915-5. BioMed Central 2023-08-25 /pmc/articles/PMC10464069/ /pubmed/37626327 http://dx.doi.org/10.1186/s12913-023-09915-5 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
van Ede, A. F. T. M.
Minderhout, R. N.
Stein, K. V.
Bruijnzeels, M. A.
How to successfully implement population health management: a scoping review
title How to successfully implement population health management: a scoping review
title_full How to successfully implement population health management: a scoping review
title_fullStr How to successfully implement population health management: a scoping review
title_full_unstemmed How to successfully implement population health management: a scoping review
title_short How to successfully implement population health management: a scoping review
title_sort how to successfully implement population health management: a scoping review
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10464069/
https://www.ncbi.nlm.nih.gov/pubmed/37626327
http://dx.doi.org/10.1186/s12913-023-09915-5
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